Active NPI
Jennifer Elyse Zare, LISW-CP
- Social Worker
- Mauldin, SC
National Provider Identifier
1528107232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8403
- Practice address
- 3 Winchester CT
Mauldin, SC 29662-2626 - Phone
- (854) 561-1133
- Fax
- (864) 288-0501
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8403 | SC | Primary |
Addresses
Primary practice location
3 Winchester CT
Mauldin, SC 29662-2626
Mailing address
23 Trailstream Dr
Mauldin, SC 29662-3322
Phone (864) 561-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1528107232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 TRAILSTREAM DR",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296623322",
"telephone_number": "864-561-1133",
"fax_number": "864-288-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WINCHESTER CT",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622626",
"telephone_number": "854-561-1133",
"fax_number": "864-288-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARE",
"first_name": "JENNIFER",
"middle_name": "ELYSE",
"name_prefix": "Mrs.",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "8403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.